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Are They Zoonoses?

Lucy S. Tompkins, MD, PhD

JAMA. 1994;271(7):553-554.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Rochalimaea are gram-negative bacteria that are recently discovered agents of new clinical syndromes, including bacillary angiomatosis (BA) and bacillary peliosis hepatis, and two well-known diseases, cat scratch disease (CSD) and trench fever. Trench fever, first described as an epidemic infection in World War I, was attributed to louse-borne Rochalimaea quintana infections, which were thought to be quite rare in the United States. Rochalimaea henselae is a newly described member of the genus,¹ very closely related to R quintana, and was first shown to be a causative agent of BA,² peliosis hepatis,^3,4 and a febrile bacteremia syndrome⁵ in 1990. Recent studies have also demonstrated that R quintana infection can also produce BA in patients who have tested positive for the human immunodeficiency virus.⁶Rochalimaea henselae may also cause a syndrome resembling trench fever in immunocompetent individuals exposed to tick bites,⁷ and a few patients without . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Medicine (Infectious Diseases and Geographic Medicine) and Microbiology and Immunology, Stanford (Calif) University Medical Center.

Footnotes
Reprints not available.

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